Coma & Emergency Training

From emergency response to consciousness assessment and auscultation.
An educational app for practicing three core skills on the ward and in the ER: leading the initial response when a patient suddenly deteriorates, assessing impaired consciousness and finding its cause, and telling heart and lung sounds apart. Work through 3D cases and real recordings as often as you like.

■ Emergency Response Training
• Scenario simulation: A patient on the ward suddenly arrests. As team leader, take charge from recognition and BLS through defibrillation, drug administration and tracheal intubation to post–cardiac arrest care (3 cases, with scoring)
• Skill drills: 6 hands-on drills covering chest compressions, bag-mask ventilation, defibrillation, ECG, drugs and tracheal intubation
• Lessons: the BLS and ALS sequence, the 4 cardiac arrest rhythms, defibrillation, drugs, the 4 Hs and 4 Ts, and post–cardiac arrest care, taught with 3D visuals and quizzes

■ Consciousness Assessment Training
• Clinical mode: Watch how a 3D patient responds to voice and to pain, grade the JCS (Japan Coma Scale) and GCS, then work out the cause of impaired consciousness one question at a time (12 cases, about 2 minutes each). You can also ask the patient’s name and where they are, or ask them to squeeze your hand, and cause questions bring in pupil findings and real CT and MRI images.
• JCS quiz / GCS quiz: Practice scoring with 30 fictional cases, complete with timer, points and ranks
• Learn: JCS and GCS quick reference, Pupil atlas (try the pupillary light reflex in 3D), and AIUEOTIPS, the Japanese take on the AEIOU TIPS mnemonic

■ NEW: Heart & Lung Sounds
• Sound library: 102 recordings of 12 heart and 6 lung findings — normal heart sounds, S3 and S4, systolic and diastolic murmurs (including aortic regurgitation and mitral stenosis), atrial fibrillation, wheeze, rhonchi, fine and coarse crackles, pleural friction rub and more — picked by auscultation site, with the waveform and a diagram of their timing against the ECG
• Challenge mode: how many can you get right in one minute? Beginner (normal or not, rhythm and rate, S1 and S2 basics, auscultation sites) and Intermediate (systolic or diastolic murmur, S3 or S4, murmur shape, phonocardiograms), with speed bonuses, combos, ranks and a review where you can listen again to what you missed
• Listening quiz: listen, then choose from four answers (heart, lung or mixed; 10 questions a round)
• Tips: telling S1 from S2, S3 vs S4 with an animation of the heart's motion and the timing of the sounds, and telling systolic and diastolic murmurs apart
• Recordings: HLS-CMDS (McMaster University, CC BY 4.0) and the University of Michigan Heart Sound & Murmur Library (CC BY-SA 3.0)

■ Who it's for
• Nurses, medical residents, paramedics and EMTs, and healthcare students
• Anyone who wants more confidence scoring JCS and GCS
• Anyone who wants to run through the BLS and ALS sequence hands-on
• Anyone who wants to feel surer listening to the heart and lungs

■ PRO mode (one-time purchase)
• All 12 cases in Clinical mode of Consciousness Assessment Training (4 are free), Favorites, and retrying questions without scoring
• Unlocks cases 2 and 3 of the emergency Scenario simulation (case 1 is free)
• Heart & Lung Sounds: all 18 findings and 102 recordings, the listening quiz and the Intermediate challenge (free: 5 findings, 39 recordings and the Beginner challenge)
• No ads
• Everything we add in the future is included
• No subscription. Restore your purchase on any device signed in with the same Apple Account.

Important: This app is for educational training only. All cases are fictional, and the patient responses shown are simulations for learning. Do not use it for diagnosis, treatment or any other real clinical decision. Always follow your institution's protocols and the judgment of physicians and other qualified professionals.